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    <title>KNEEsurgeons</title>
    <link>http://www.kneeguru.co.uk/KNEEsurgeon/</link>
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      <title>KNEEsurgeons</title>
      <link>http://www.kneeguru.co.uk/KNEEsurgeon/</link>
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<item>
 <title>Predicting the need for ACL reconstruction</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=175</link>
<description><![CDATA[The fundamental reason for surgical treatment of ACL rupture is to stop symptomatic instability which can produce recurrent injury- especially meniscal tears. Not all patients with ACL rupture have this instability pattern especially if they modify their activites. Hence predicting instability and need for early surgery is important to understand both by the patient and healthcare professionals (GP, Physiotherapist and orthopaedic surgeon). ]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=175</comments>
 <pubDate>Sun, 3 Feb 2008 14:56:16 -0100</pubDate>
</item><item>
 <title>Surgical decision on which meniscal tear to repair</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=160</link>
<description><![CDATA[The classical indication for meniscal repair is an acute longitudinal, unstable tear of >1cm in the periphery of the meniscus which is of traumatic (nondegenerative) etiology. The knee should be stable or a concomitant ligament reconstruction should be performed. <br />
<br />
The reality is that quite often meniscal tears do not clearly fall into the above criteria and may be responsible for relatively lower meniscal repair rates in some centres. Age of the patient and chronicity of tear are not contraindications for meniscal repair. Incomplete stable tears do not require repair. The intra-operative dilemma usually is whether the tear is peripheral enough. The commonest tears are in the posterior third of the medial or lateral meniscus and it is important to develop arthroscopy skills to visualise the ‘rim width’ in this area of the meniscus. The vascular zone has been shown to be present in the peripheral 4mm or up to 25-30% of meniscal periphery. Adequate preparation of the tear edges using rasps/shavers, meniscal trephination and synovial abrasion can help increase success rates and extend indications for meniscal repair into white-white zones. The success of newer generation suture based all inside techniques along with the above augmentation techniques should help the surgeon increase repair rates and improve results.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=160</comments>
 <pubDate>Mon, 24 Sep 2007 11:32:13 +0000</pubDate>
</item><item>
 <title>Knee Pain - further investigations</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=137</link>
<description><![CDATA[The history, having told you what you needed<br />
To know of symptoms, you have then proceeded<br />
To look and feel and move the painful knee<br />
To postulate the main pathology.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=137</comments>
 <pubDate>Sun, 15 Apr 2007 10:50:13 +0000</pubDate>
</item><item>
 <title>Knee Pain - Examination</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=136</link>
<description><![CDATA[FINGER POINTING TEST<br />
<br />
Now before you start the tender task<br />
Of examination, you must ask<br />
"Where is this pain? If you can be precise<br />
"To show me its location would be nice"]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=136</comments>
 <pubDate>Sun, 15 Apr 2007 10:46:33 +0000</pubDate>
</item><item>
 <title>Knee Pain - the History</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=135</link>
<description><![CDATA[		As Orthopaedic surgeons we are now<br />
			Informed quite well in all the details how<br />
		Pain within the knee is generated<br />
			And how it can be treated and ablated.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=135</comments>
 <pubDate>Sun, 15 Apr 2007 10:40:15 +0000</pubDate>
</item><item>
 <title>The central approach to the lateral compartment of the knee</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=134</link>
<description><![CDATA[There is no need to struggle with approaches to the knee<br />
One skin cut down the middle is all there needs to be.<br />
For this goes down the watershed where venous blood divides<br />
Medially and laterally to drain to both the sides.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=134</comments>
 <pubDate>Sun, 15 Apr 2007 10:37:41 +0000</pubDate>
</item><item>
 <title>OrthoGlide Interposition Arthroplasty</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=132</link>
<description><![CDATA[I have a particular interest in the OrthoGlide implant which has just received FDA approval in the USA as an alternative to partial or total knee replacement in selected patients. In fact I will be part of a group of physicians touring France and the UK in Spring of 2007 to present our findings.<br />
<br />
The OrthoGlide implant is inserted within the knee joint to replace some of the cartilage function lost to osteoarthritis. The procedure requires significantly less tissue and no bone removal as other replacement options do. <br />
<br />
We are trying to maintain a patient's natural knee as long as possible. And although we don't know yet if we'll be able to totally avoid a knee replacement, things are looking very positive with our early results. Patients report much quicker recovery times with less physical therapy than a partial or total knee replacement. They also experience pain relief and a good range of motion after undergoing the hour-long procedure. However, it is still too early to know for how long the implant will last and if these patients will still need the more extensive standard operation. <br />
<br />
<hr>]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=132</comments>
 <pubDate>Tue, 20 Feb 2007 19:29:23 -0100</pubDate>
</item><item>
 <title>Biological Joint Restoration - a case presentation</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=131</link>
<description><![CDATA[Biological joint restoration has had a high success rate in our clinic – but only in carefully selected patients.  For example, with the exception of microfracture, these procedures are generally not suitable for persons over 59 years of age, persons more than 30% above their maximum ideal body mass, and people who smoke (although many smokers have had successful results after giving up smoking).  For patients over 60 or 65 years of age joint replacement is usually a better option. However for suitable patients, like the patient presented here, joint restoration offers many potential benefits.  The procedures are all FDA approved and paid for by all major insurance companies.  In coming years advances in technology will continue to increase their applicability to more and more people who need them.  Even now it is safe to say that virtually all patients under 60 with knee disability can be helped sufficiently such that total knee replacement should virtually never be necessary.<br />
<br />
<hr>]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=131</comments>
 <pubDate>Wed, 14 Feb 2007 06:52:11 -0100</pubDate>
</item><item>
 <title>MRI Imaging of Patellar Cartilage</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=103</link>
<description><![CDATA[MRI imaging of the patella provides information that a plain X-ray cannot. Specifically the MRI allows the doctor to evaluate the articular cartilage under the patella and over the trochlear groove. The doctor can see if there is a lesion of the articular cartilage, and can get a sense of its location, its width and its depth. The presence or absence of such a lesion will affect the treatment offered to the patient.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=103</comments>
 <pubDate>Thu, 9 Nov 2006 00:09:01 -0100</pubDate>
</item><item>
 <title>X-ray Imaging for Patellar Malalignment</title>
 <link>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=102</link>
<description><![CDATA[The patella is ideally suited for imaging, and when it comes to detecting malalignment the doctor will usually start with plain x-rays. Here the standard of care would be to obtain four X-rays. These would include the so-called AP (front-to-back), the side view (otherwise known as the lateral), the standing tunnel view and the so-called Merchant view – otherwise known sometimes as the axial view or sunrise view.]]></description>
 <category>General</category>
<comments>http://www.kneeguru.co.uk/KNEEsurgeon/index.php?itemid=102</comments>
 <pubDate>Wed, 8 Nov 2006 22:54:16 -0100</pubDate>
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